March 23rd @ 11:00 AM PST/12:00 PM MST/1:00 PM CST/2:00 PM EST
During your job search, you may encounter third-party recruiters as well as corporate recruiters. These individuals understand the needs of their clients and are very effective making appropriate matches. During this session you will learn the following:
- How to position yourself with third-party recruiters
- What it takes to impress a corporate recruiter
- How to proactively get a recruiter to pursue you
Register for free at our Career Portal
Are you looking for independence and flexibility at an attractive rate of pay?
Our client, a national health plan, is looking to attract the best of the best in the NP community to make a difference! As part of their field team, you will represent the plan by visiting with members monitoring and developing care management plans.
We are looking for NP’s who have advanced training and clinical knowledge and want to apply that expertise in a setting that will make a difference in the lives of hundreds of plan participants.
Experienced nurse practitioners are needed on a full-time, part-time, and contract basis. Our client is ready to offer competitive salaries, paid training, in house resources and an attractive benefit package.
Have more questions? Apply Here or give us a ring 866-371-0687 x.210
Multiple positions are available and a quick hiring process is promised. Act now and take your advance skill, knowledge, and expertise to people who will appreciate it today.
ABOUT OUR FIRM
Managed Medicaid Services, LLC is a Medicaid executive search and consulting firm. Our clients are national and regional health care organizations who seek the services of clinical and operational professionals in contract, interim, and permanent positions, care management outsourcing, and recruitment process insourcing. Join our community at www.MedicaidTalk.com.
Under general direction, monitors & evaluates providers, projects, program (e.g., may include components) or service delivery by participation on or leads a team to &/or works independently to: Conduct complex analysis (e.g., researches & analyses policy, techniques & procedures for Just Cause & Waiver Disenrollment, Inpatient & Continuity of Care Deferments including reconciliation & reimbursement strategies for Medicaid-contracting Managed Care Plans [MCPs] & eligible consumers) determines & implements necessary Client Registry Information System – Enhanced (CRIS-E)/Medicaid Management Information System (MMIS) & other programmatical changes & discrepancies; monitors & evaluates program policies & procedures to assure compliance with federal & state regulations; summarizes findings & recommendations for change on health care related issues using complex computer systems [e.g., MMIS, CRIS-E, Decision Support System (DSS) databases] & initiates & completes complex, technical reports related to these issues; interacts directly with consumers, MCPs, providers & other interested parties in the compilation of data to determine appropriate MCP enrollment eligibility actions; notifies affected parties of actions (e.g., approval/denial of enrollment); verifies with consumers & providers that MCP follow-up action is completed by tracking concerns & resolutions; responds to inquiries by consumers, providers, county agencies, MCP & government officials by telephone, correspondence &/or in person.
Provides consultive expertise & training & acts as liaison to both intra-agency & inter-agency providers (e.g., Medicaid-contracting MCPs, Bureau of Community Services Policy); acts as team leader to gather & analyze data & in the design of required forms; consults with MCP officials, county agencies & other entities regarding current & forthcoming program changes; coordinates activities performed by other entities which are directly associated with the administration &/or implementation of policies pertaining to Medicaid-contracting MCPs; verifies reimbursements request & claims adjustments resulting from eligibility actions; represents agency at hearings, conferences, meetings & workshops; serves on committees & taskforces; prepares complex, technical reports, correspondences & memorandums.
Medical management and creative writing are the right combination of skills here. Unique position will be instrumental in business expansion efforts nationally. Oversight for writing proposals from the med mgmt perspective, defining requirements, estimating and project planning for new business implementation and execution. Creativity and professionalism will be essential in drafting proposals that adhere to established themes, writing guide and State, Federal and NCQA requirements. Research best practices, appropriate technological and logistical support. Will be instrumental in selecting and developing staff for new program implementation.
Must be able to travel for implementation of new business (varies 20-40%). Position requires nursing degree or Bachelor’s in related field, 3-5 years of writing experience including the ability to create business proposals and develop and implement business models. Project mgmt skills required. PMP a plus. Experience in managed care industry strongly preferred.
Click Here to Apply
Executive Recruiting Contact:
Pamela Ratz DeVille, CPC, CIR, CDR
DL: 866-371-0687 x256